Volume 8, Issue 6, November 2020, Page: 186-190
Abdominal Wall Endometriosis: Purpose of a Case and Review of Literature
Sonia Oliva, Gynecology and Obstetrics Service, Departmental University Hospital, Nariño, Colombia
Daniel Correa López, Program of Medicine, Faculty of Health Sciences Pontifical Javeriana University, Cali, Colombia
Brayan Molano, Program of Medicine, Faculty of Health Sciences Cooperative University of Colombia, Pasto, Colombia
Received: Oct. 6, 2020;       Accepted: Oct. 29, 2020;       Published: Nov. 16, 2020
DOI: 10.11648/j.jgo.20200806.16      View  30      Downloads  27
Abstract
Endometriosis of the abdominal wall is defined as the presence of superficial ectopic endometrial tissue to the parietal peritoneum, whose origin may be associated with previous gynecological surgical procedures. Its prevalence is low, around 0.03%, being the first isolated case in our institution, its report and bibliographic review was necessary. The following paper is a case report and a brief bibliographic literature review. Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. The definition includes injuries that may or may not be related to previous surgical procedures. It is associated with cesarean section in 57% and hysterectomy in 17%. We present the case of a 37 years old female patient, with a history of three previous cesarean sections 3, 6 and 10 years ago; who presented a clinical picture of a sensation of a mass in the abdominal wall, accompanied by cyclical pain and mass growth related to menstrual periods. Abdominal ultrasound reported a heterogeneous vascularized 4x5cm mass. She underwent surgery at our institution where an endometrial mass was evidenced that infiltrated the rectus abdominis, later the diagnosis was confirmed with the histopathological study. Abdominal endometriosis is a rare entity in medical practice. A high index of suspicion should be considered in the case of a woman who presents with disabling abdominal pain located in the abdominal wall, with a history of previous gynecological surgical procedures. This pathology can be confused with many other surgical entities; for this reason, resorting to paraclinical studies can be essential in the diagnostic certainty.
Keywords
Endometriosis, Abdominal Wall, Endometrioma, Case Report
To cite this article
Sonia Oliva, Daniel Correa López, Brayan Molano, Abdominal Wall Endometriosis: Purpose of a Case and Review of Literature, Journal of Gynecology and Obstetrics. Vol. 8, No. 6, 2020, pp. 186-190. doi: 10.11648/j.jgo.20200806.16
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Photiou, L., Tan, C.-G., & Taylor, K. O. (2019). Abdominal Wall Endometriosis in an Abdominoplasty Patient. Aesthetic Plastic Surgery. 43: 980–981. doi: 10.1007/s00266-019-01402-9.
[2]
Rindos NB, Mansuria S. (2017) Diagnosis and Management of Abdominal Wall Endometriosis: A Systematic Review and Clinical Recommendations. Obstet Gynecol Surv.; 72 (2): 116-122. doi: 10.1097/OGX.0000000000000399. PMID: 28218772.
[3]
Saliba, C., Jaafoury, H., El Hajj, M., Nicolas, G., & Haidar Ahmad, H. (2019). Abdominal Wall Endometriosis: A Case Report. Cureus Feb; 11 (2), e4061. doi.org/10.7759/cureus.4061.
[4]
Lee D, Kim SK, Lee JR, Jee BC. (2020) Management of endometriosis-related infertility: Considerations and treatment options. Clin Exp Reprod Med.; 47 (1): 1-11. doi: 10.5653/cerm.2019.02971. Epub 2020 Feb 24. PMID: 32088944; PMCID: PMC7127898.
[5]
Djakovic I, Vukovic A, Bolanca I, Soljacic Vranes H, Kuna K (2017) Abdominal wall endometriosis eleven years after cesarean section: case report. Acta Clin Croat 56 (1): 162–165. https://doi.org/10.20471/acc.2017.56.01.22.
[6]
Costa J, Faria E et al. (2020). Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense. Rev. Col. Bras. Cir., Rio de Janeiro, v. 47, e20202544. https://doi.org/10.1590/0100-6991e-20202544.
[7]
Ortega R., Serrano F., Prieto S. et al. (2012) Abdominal wall endometriosis. Prog Obstet Ginecol. 55 (8): 367-372. DOI: 10.1016/j.pog.2011.09.011.
[8]
Parasar, P., Ozcan, P., & Terry, K. L. (2017). Endometriosis: Epidemiology, Diagnosis and Clinical Management. Current obstetrics and gynecology reports, 6 (1), 34–41. https://doi.org/10.1007/s13669-017-0187-1.
[9]
Anand M, Deshmukh SD. (2011) Massive abdominal wall endometriosis masquerading as desmoid tumour. J Cutan Aesthet Surg.; 4: 141–143.
[10]
Burney, R., & Giudice, L. (2012). Pathogenesis and Pathophysiology of Endometriosis. Fertility and Sterility, 98 (3), 265–275. http://doi.org/10.1007/s10955-011-0269-9.Quantifying.
[11]
Cöl, C., & Yilmaz, EE (2014). Cesarean scar endometrioma: Case series. World Journal of Clinical Cases, 2 (5), 133–6. http://doi.org/10.12998/wjcc.v2.i5.133.
[12]
Medina, B., M itsui, N., Centurión, O., Recalde, A., Ayala, N., Ojeda, H., & Bogado, L. (2009). Case Report Endometriosis of the abdominal wall. Presentation of a case. EFACIM, 42 (2), 67–72.
[13]
Tatli, F., Gozeneli, O., Uyanikoglu, H., Uzunkoy, A., Yalcın, H. C., Ozgonul, A., Guldur, ME (2017). The clinical characteristics and surgical approach of abdominal wall endometriosis: A case series of 14 women. Bosnian Journal of Basic Medical Sciences, http://doi.org/10.17305/bjbms.2018.2659.
[14]
Horton, JD, DeZee, KJ, Ahnfeldt, EP, & Wagner, M. (2008). Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. American Journal of Surgery, 196 (2), 207–212. http://doi.org/10.1016/j.amjsurg.2007.07.035.
[15]
Singh, KK, Lessells, AM, Adam, DJ, Jordan, C., Miles, WF, Macintyre, IM, & Greig, JD (1995). Presentation of endometriosis to general surgeons: a 10-year experience. The British Journal of Surgery, 82 (10), 1349–51. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/7489161.
[16]
Lopez -Soto, A., Sanchez -Zapata, MI, Martinez-Cendan, JP, Ortiz Reina, S., Bernal Mañas, CM, & Remezal So lano, M. (2018). Cutaneous endometriosis: Presentation of 33 cases and literature review. European Journal of Obstetrics Gynecology and Reproductive Biology, 221, 58–63. http://doi.org/10.1016/j.ejogrb.2017.11.024.
[17]
Nissotakis, C., Zouros, E., Revelos, K., & Sakorafas, GH (2010). Abdominal wall endometrioma: A case report and review of the literature. AORN Journal, 91 (6), 730– 742. http://doi.org/10.1016/j.aorn.2010.01.014.
[18]
Bozkurt, M., Said, A., & Bozkurt, D. (2014). Intramuscular abdominal wall endometriosis treated by ultrasound-guided ethanol injection. Clinical Medicine and Research, 12 (3–4), 160–165. http://doi.org/10.3121/cmr.2013.1183.
[19]
Kang, J., Baek, J.-H., Lee, W.-S., Cho, TH, Lee, JN, Lee, WK, & Chung, M. (2013). Clinical manifestations of abdominal wall endometriosis: a single center experience. Archives of Gynecology and Obstetrics, 287 (2), 301–305. http://doi.org/10.1007/s00404-012-2565-2.
[20]
Khlifi, A., Kouira, M., Anis, M., Sonia, Z., Ines, L., Habib, S., Hedi, K. (2012). Endométrios e pariétale sur cicatrice de Césarienne: À propos de 3 cas. Imagerie of LaFemme, 22 (3), 156–161. http://doi.org/10.1016/j.femme.2012.06.003.
[21]
Grigore, M., Socolov, D., Pavaleanu, I., Scripcariu, I., Grigore, AM, & Micu, R. (2017). Abdominal wall endometriosis: An upd ate in clinical, imagistic features, and management options. Medical Ultrasonography, 19 (4), 430–437. http://doi.org/10.11152/mu-1248.
[22]
Malutan, AM, Simon, I., Ciortea, R., Mocan- Hognogi, RF, Dudea, M., & Mihu, D. (2017).Surgical Scar Endometiosis: a Series of 14 Patients and Brief Review of Literature. Clujul Medical, 0 (0), 411–415. http://doi.org/10.15386/cjmed-743.
[23]
Khan, Z., Zanfagnin, V., El- Nashar, SA, Famuyide, AO, Daftary, GS, & Hopkins, MR (2017). Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall Endometriosis. Journal of Minimally Invasive Gynecology, 24 (3), 478–484. http: // doi. org / 10.1016 / j. jmig.2017.01.005.
[24]
Carsote M., Terzea D., Valea A., Gheorghisan A. (2020) Abdominal Wall Endometriosis (A narrative review) International Journal of Medical Sciences, 17 (4) 536-542 doi: 10.7150/ijms.38679.
[25]
Petrosellini, C., Abdalla, S., & Oke, T. (2018). The many guises of endometriosis: Giant abdominal wall endometriosis masquerading as an incisional hernia. International Journal of Fertility and Sterility, 11 (4), 321–325. http://doi.org/10.22074/ijfs.2018.5126.
[26]
Eljuga, Damir & Klarić, Petar & Bolanča, Ivan & Grbavac, Ivan & Kuna, Krunoslav. (2012). Abdominal wall endometriosis: Case report. Acta clinica Croatica. 51. 261-3.
[27]
Bergeron C. Histologie et physiologie de l’endomètre normal. EMC (Elsevier Masson SAS, Paris), Gynécologie, 31-L-10, 2006.
[28]
Huber M., Grosel J., Showen C. (2019) Recognizing abdominal wall endometriosis. American Academy of Pshysician Assistants, 32 (7). DOI: 10.1097/01.JAA.0000558237.67863.aa.
[29]
Meyer R. Adenomatous proliferation of the serosa in an abdominal scar. Z Ge burtsh Gynak 1903; 49: 32-41.
[30]
Gupta, P., & Gupta, S. (2015). Scar Endometriosis: a Case Report with Literature Review. Acta Med Iran, 53 (12), 793–795.
[31]
Vellido-Cotelo, R., Muñoz-González, JL, Oliver-Pérez, MR, de la Hera-Lázaro, C., Almansa-González, C., Pérez- Sagaseta, C., & Jiménez-López, JS (2015). Endometriosis node in Gynaecologic scars: A study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Women's Health, 15 (1). http://doi.org/10.1186/s12905-015-0170-9.
[32]
Blanco RG., Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg 2003; 185: 596-598.
[33]
Zhao, R., Wang, X.-J., Song, K.-X., Zhu, L., & Li, B. (2012). Mini abdominoplasty combined with mesh used for abdominal wall endometriosis. Chinese Medical Journal, 125 (9), 1614–7. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/228008311955.
[34]
Singh, M., Sivanesan, K., Ghani, R., & Granger, K. (2009). Caesarean scar endometriosis. Archives of Gynecology and Obstetrics, 279 (2), 217–219. http://doi.org/10.1007/s00404-008-0672-x.
[35]
Chang, M.-Y., Hsieh, C.-L., Shiau, C.-S., Hsieh, T.-T., Chiang, R.-D., & Chan, C.-H. (2013). Ultrasound-Guided Aspiration and Ethanol Sclerotherapy (EST) for Treatment of Cyst Recurrence in Patients after Previous Endometriosis Surgery: Analysis of Influencing Factors Using a Decision Tree Journal of Minimally Invasive Gynecology, 20 (5), 595–603. http://doi.org/10.1016/j.jmig.2013.03.004.
[36]
García-Tejedor, A., Castellarnau, M., Ponce, J., Fernández, M., & Burdio, F. (2015). Ethanol sclerotherapy of ovarian endometrioma: a safe and effective minimal invasive procedure. Preliminary results. European Journal of Obstetrics & Gynecology and Reproductive Biology, 187, 25–29. http://doi.org/10.1016/j.ejogrb.2015.02.004.
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